眼外伤后行二期悬吊人工晶状体植入46例临床分析

Clinical analysis of 46 cases of ocular trauma underwent secondary suspended intraocular lens implantation

目的探讨眼外伤后行二期悬吊人工晶状体植入的方法及效果。方法46例眼外伤患者经一期手术治疗后均呈现无晶状体眼，实施二期悬吊人工晶状体植入手术治疗，记录其手术前后视力、眼压变化情况及并发症发生率，进行统计学分析。结果46例眼外伤患者经二期悬吊人工晶状体植入手术治疗后，其视力均较治疗前显著改善（P〈0．05），而眼压则较治疗前无明显变化（P〉0．05），相关并发症发生率为21．74％（10／46），其中高眼压发生率最高（8．70％）。结论眼外伤后给予二期悬吊人工晶状体植入手术治疗可显著改善患者视力，提高患者疗效及预后，保障其生活质量。

Objective To investigate the methods and results of ocular trauma underwent secondary suspended intraocular lens implantation. Methods Forty-six cases of ocular trauma after surgical treatment showed aphakia. After they were implemented the secondary suspended intraocular lens implantation, their visual acuity before and after surgery, intraocular pressure changes and the incidence of complications were recorded and statistically analyzed after conclusion. Results After 46 cases of ocular trauma patients was conducted the secondary suspended intraocular lens implantation surgery, their visual acuity all significantly improved than before the treatment （ P 〈 0. 05 ）, whereas no significant change in terms of intraocular pressure（ P 〉 0. 05 ）. The complication incidence was 21.74% （ 10/46 ）, of which the highest was ocular hypertension （8.70%）. Conclusions Secondary suspended intraocular lens implantation after ocular trauma can significantly improve visual acuity, improve patient outcomes and prognosis, protect their quality of life.